I give my permission for

I _________________________________ give my permission for  _________________________________ to participate in the following swimming  activities:  Check all that you would like your child to participate in:  _____ Wading pools (24 inches or less)  _____ Regular lifeguarded pool shallow end  _____ Regular lifeguarded pool deep end    Field Trips (only check if applicable):  _____Clearfield Splash Pad  _____Clearfield Pool shallow end  _____ Clearfield Pool deep end  _____Beaver Island- Only dip their feet in  _____ Beaver Island-Up to my child’s    

shoulder height 

_____ July 26 creekwalk (24 inches or less)  _____ July 26 shallow end of the pool (3 feet)  _____ July 26 deep end of the pool (5 feet)         Parent/Guardian Signature__________________________________________________